Background
The first wave of coronavirus disease 2019 was a global event for which nurses had limited time to prepare before receiving an influx of high-acuity patients and navigating new plans of care.
Objectives
To understand nurses’ lived experiences during the COVID-19 outbreak and to examine their resiliency.
Methods
A convergent mixed methods design was applied in this study. For the quantitative portion, resiliency was measured by using the Brief Resilience Coping Scale. Colaizzi’s phenomenological method was used for qualitative analysis.
Results
A total of 43 nurses participated in the study. The mean score on the Brief Resilience Coping Scale was 14.4. From 21 robust narratives, Colaizzi’s qualitative method yielded 5 themes to describe the experience of being a nurse during the pandemic.
Conclusions
Understanding the lived experience provides a unique lens through which to view nursing during a global pandemic, and it serves as a starting point to ensure future safeguards are in place to protect nurses’ well-being.
SCC rapidly induces a primary fibrinolytic state manifested by increased circulating t-PA, reduced alpha 2-antiplasmin, and increased fibrinolytic activator-to-inhibitor ratios. These effects may be a result of hepatic hypoperfusion caused by SCC leading to insufficient clearance of t-PA. Antifibrinolytic agents may be of benefit if bleeding develops after aortic procedures that require supraceliac clamping.
Patients with heart failure (HF) who have been discharged from a home care agency are a particularly vulnerable group at risk for poor outcomes and high rehositalization rates. The primary aim of this experimental study was to determine the efficacy of a telemonitoring and self-care education intervention in reducing hospitalization and improving quality of life and patient's knowledge of HF after home care discharge. Ninety-three participants completed the study. The primary outcome of 90-day post-home care discharge hospitalization was significantly reduced in the intervention group compared to controls (9 vs. 18, p -.046). HF knowledge (p = .013) and QOL (p = .004) were significantly increased in intervention group patients in comparison to control group patients' at the study endpoint.
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